Information Collection

Credits for Affected Midwestern Disaster Area Employers

IC 19719 under ICR 200811-1545-017 · OMB 1545-1978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-1978 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5884-A Credits for Affected Midwestern Disaster Area Employers	Form
5884-A Credits for Affected Midwestern Disaster Area Employers 5884-A.pdf	Form
brdn_busi for 5884A.PDF Burden for Form 5884-A	IC Document

IC Title:

Credits for Affected Midwestern Disaster Area Employers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5884-A	Credits for Affected Midwestern Disaster Area Employers	5884-A.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 65 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	250,000	0	250,000
Annual IC Time Burden (Hours)	760,000	-232,500	992,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Burden for Form 5884-A	brdn_busi for 5884A.PDF	11/26/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.